Seraphim Stem Cell Research Foundation

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SERAPHIM STEM CELL RESEARCH FOUNDATION

Practice address

960 E Green St Ste 101
Pasadena, CA 91106-2401

Phone

(256) 348-5521

Fax

(626) 449-2759

NPI assigned

Sep 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gladwin Gill, PH. D

Title

Ceo

Phone

(818) 262-5900

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1134736705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-449-1944",
            "fax_number": "626-449-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "256-348-5521",
            "fax_number": "626-449-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHIM STEM CELL RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "GLADWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-262-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aram Seo, MD
• Amy Sepulveda
• Nancy Sepulveda
• Alexander Sequoia
• Maria Florence Serania, RPT
• Sevan Serapian
• Veronica Serapio
• Serenity
• Serenity Path Recovery Inc
• Francis Sermier

• Adult Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.